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'u. <br />kpplication For: Bangs <br />Requested Facility(s): <br />Requested Date(s) (Day/Date): <br />Set -Up Time: to <br />City of Colton <br />Parks, Recreation & Family Services Department <br />APPLICATION FOR FACILITY RESERVATION <br />Hall — Meeting Room Athletic Field <br />Program Time: eA to <br />Clean -Up Time: to <br />Other <br />Crroup/Organization:–ieAt xc34 " Q j – –T <br />Contact Person: <br />f`� Alternate Contact Person:µ <br />Address: 4, <br />Address: . <br />City &Zip Coder �-;;�. City & Zip Code: <br />923 <br />Home Phone: Wk phone: Cr,37Home Phone: � <br />Work Phone: cat 314477 <br />Estimated Total Event Attendance: lbadults <br />Teens Children <br />Reason for Use: fns <br />Equipment/Services Requested: # of Tables <br />(subject to availability)# of Chairs — Athletic Lights — Field Preparation <br />times: from: pm — Bases <br />Kitchen/Concessions to: pm _ P.A. System <br />._ Additional Request(s): <br />RENTAL AGREEMENT <br />I/We herepy certify that we shall be personally responsible, on behalf of our group/organization, for any dama <br />grounds, fields, equipment, or other facilities through the use of said ge or abuse of buildings, <br />premises by our group/organization. I/We agree to abide by and enforce <br />the rules and regulations of the City of Colton and certify that we have read the rules and regulations listed on the back of this application. <br />Signature of Applicant: <br />Date: <br />(For Office Use Only) <br />Remarks: <br />White: Office Yellow: Facility Green: Maintenance <br />Pink: Patron <br />t <br />